WILLAMETTE FAMILY MEDICAL CENTER, INC (NPI# 1043483886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043483886 |
| Entity Type | Organization |
| Organization Name | WILLAMETTE FAMILY MEDICAL CENTER, INC |
| Other Organization Name | LUCKIAMUTE CLINIC |
| Practice Address |
304 N Main St Falls City OR 97344-9793 |
| Mailing Address |
755 Medical Center Dr Ne Salem OR 97301-2762 |
| Practice Telephone | 5037873353 |
| Practice Fax Number | 5037872911 |
| Mailing Telephone | 5035856388 |
| Mailing Fax Number | 5034853951 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |
| Authorized Official Name | DR. ROBERT STEELE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5035856388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 230452 | 05 |
| Other Name | Type Code |
|---|---|
| Luckiamute Clinic | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WILLAMETTE FAMILY MEDICAL CENTER, INC. | 435 Lancaster Drive Ne, Salem, OR 97301 |
| Street Address |
304 N MAIN ST |
| City | FALLS CITY |
| State | OR |
| Zip Code | 97344-9793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275546608 | Joanna Christina Picchi | Nurse Practitioner | 304 N Main St, Falls City, OR 97374 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588214746 | Billy J Potts | Nurse Practitioner | 7398 Fm 791, Falls City, TX 78113-6052 | 2019-09-18 |
| 1609378538 | Melissa Moy | Licensed Vocational Nurse | 7538 Us Highway 181 S, Falls City, TX 78113-3055 | 2018-03-07 |
| 1184143943 | Community Medical Center, Inc | Clinic/Center | 3307 Barada Street, Falls City, NE 68355 | 2017-09-13 |
| 1447781505 | Steven Joseph Hill | Anesthesiology | 1812 Huber Rd, Falls City, NE 68355-2429 | 2017-03-21 |
| 1316308158 | Jacob Andrew Bartek | Chiropractor | 1717 Stone St Ste 2, Falls City, NE 68355-2036 | 2016-03-07 |
| 1538536990 | Tracie M Heckenlively | Speech-Language Pathologist | 2500 Chase St, Falls City, NE 68355-1113 | 2015-09-01 |
| 1649647140 | Kristine D Vrtiska | Speech-Language Pathologist | 1415 Morton St, Falls City, NE 68355-2759 | 2015-09-01 |
| 1780051193 | Mary Malcolm | Occupational Therapist | 71051 651 Blvd, Falls City, NE 68355-1488 | 2015-09-01 |
| 1407232242 | Sherry J. Maddox | Speech-Language Pathologist | 1415 Morton Street, Falls City, NE 68355 | 2015-08-04 |
| 1902185416 | Personal Care, Inc. | Durable Medical Equipment & Medical Supplies | 3003 Old Hwy 73, Falls City, NE 68355-2473 | 2011-08-15 |
| Find all providers in FALLS CITY | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194767285 | Community Medical Center, Inc | Family Medicine | 3307 Barada St., Falls City, NE 68355-2470 | 2006-06-12 |
| 1790880656 | Falls City Family Practice, P.C. | Family Medicine | 1423 Stone St, Falls City, NE 68355-2660 | 2006-09-14 |
| 1578502621 | David Eugene Borg | Family Medicine | 3307 Barada St, Falls City, NE 68355-2470 | 2006-06-05 |
| 1316990278 | Allan W Tramp | Family Medicine | 1423 Stone St, Falls City, NE 68355-2660 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306344 | Emily Herrmann | Family Medicine | 1965 Alder St, Eugene, OR 97405-2937 | 2020-11-03 |
| 1366041071 | Christina Cabelly | Family Medicine | 16305 Sw Loon Dr, Beaverton, OR 97007-8989 | 2020-10-23 |
| 1386242790 | Rose City Medical Clinic LLC | Family Medicine | 11397 Se Cascade View Ct, Clackamas, OR 97086-9753 | 2020-10-16 |
| 1346847332 | Jasmine Barnhart | Family Medicine | 1935 Canyon Ave, Medford, OR 97504-2128 | 2020-10-03 |
| 1255949434 | Deep Creek Family Medicine | Family Medicine | 39084 Proctor Blvd Ste A, Sandy, OR 97055-8064 | 2020-07-14 |
| 1316569635 | Doctors On Video | Family Medicine | 13215 Sw Hawks Beard St Apt 726, Tigard, OR 97223-2125 | 2020-05-08 |
| 1710510094 | Gresham Family Care Inc | Family Medicine | 1800 Blankenship Rd Ste 350, West Linn, OR 97068-4182 | 2020-02-14 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1083252472 | Driven Enterprises PC | Family Medicine | 20700 Wandalea Dr, Bend, OR 97701-1594 | 2019-12-16 |
| 1891331195 | Praxis Medical Group Inc | Family Medicine | 1426 Oak Street, Eugene, OR 97401-4043 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | FALLS CITY |
| Zip Code | 97344 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.